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NPI Code Detail

MEDICARE: ISRAEL D. GARCIA MD

MEDICARE:   ISRAEL D. GARCIA  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease PhysicianMD37665TN
2207R00000XInternal Medicine Physician37665TN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P01437956OTHERTNRAILROAD MEDICARE
9P00216836OTHERRAILROAD MEDICARE

Other Identifiers

General Provider Information

NPI Number : 1598750481
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISRAEL D. GARCIA MD
Provider Business Mailing Address
First Line : 1021 W OAKLAND AVE STE 310
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37604-2192
Country : US
Telephone Number : 423-952-2111
Fax Number :
Provider Business Practice Location Address
First Line : 2050 MEADOWVIEW PKWY
Second Line :
City : KINGSPORT
State : TN
Zip : 37660-7475
Country : US
Telephone Number : 423-230-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2005
Last Update Date : 03/02/2026

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